Based on a review of evidence, the University of Colorado
Hospital’s CAUTI Interdisciplinary Quality Intervention Team initiated
a quality improvement project that provided a multifaceted
nursing-driven approach to reduce CAUTIs. Our hospital was not
using physician order entry; consequently, using electronic charting
systems to provide question prompts or decision trees to validate
the need for an indwelling bladder catheter as well as
automatic stop orders were not available. The purpose of this
quality improvement process study was to develop and implement
evidence-based, multifaceted, nurse-driven interventions to
improve urine elimination management in hospitalized patients
and to measure the impact of these interventions on the duration of
indwelling urinary catheterization (dwell time) and the CAUTI
incidence among patients on the target inpatient units.